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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... • Alveoli: - CHF ... • Pleura: - Effusion ... Diagnosis #Causes #Cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ... ALL bones Check ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... edema - Large effusion ... NSAlDs, ACE-inhibitors ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... Pharmacology: • ACE ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC ... algorithm to determine ... indication of AC ... one post op Cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Breathing • Check chest ... reservoir bag and APL ... known drug causes (eg ... Intraoperative #Checklist ... Management #Workup #Cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... suspected) - CT chest ... interventional radiology ... renal failure, pulmonary ... , SOB, pleural effusions